Happy New Year!
Now it’s time to focus on all those resolutions.
And along the lines of making personal changes in the new year, it’s also time for professional ones – more specifically, focusing on MIPS reporting changes for 2018 as part of CMS’s efforts to reduce complications and unnecessary utilization of resources through more efficient, holistic patient care management.
But before getting started, it’s important to note that providers still have until March 31, 2018 to submit data for Performance Year 2017. It’s not too late to submit data and avoid penalties! For some last-minute advice on 2017 MIPS reporting, listen to HealthEC’s Sanjay Seth, MD, speak with HealthcareNOW Radio.
Back to 2018. A key difference will be the cost measure coming into play, and in turn, shifting category weightings. Cost will now comprise 10 percent of reporting with quality lowered to 50 percent (from 60 percent). Advancing care information (ACI) and improvement activities (IA) remain at 25 percent and 15 percent, respectively.
The 2018 cost measure will be calculated using the Medicare Spending per Beneficiary (MSPB) and total per capita cost measures. These two measures will be carried over from the Value Modifier program and are currently being used to provide feedback for the MIPS transition year. CMS will calculate cost measure performance; no action is required from clinicians. One might believe there isn’t much that can be done to impact CMS’s calculation, but there is. Providers can examine ways to avoid unnecessary utilization of resources, which is also reviewed in Dr. Seth’s HealthcareNOW interview podcast.
Further, 365 days’ worth of data must now be submitted for quality measures. Data reporting for ACI can be from 90 days to 365 days, and IA holds steady at 90 days.
Other items of note for 2018 include:
As a final note, the main focus of CMS over the next few years is to push all clinicians into an ACO or Advanced APM. Therefore, CMS is reducing the burden on those clinicians who are already part of these groups, as they are sharing more risk amongst themselves.
So, as we start 2018, good luck with all those New Year’s resolutions, and of course, your 2018 MIPS reporting.
Should you require additional information about MIPS reporting, we are always available to help! Feel free to contact us at (732) 902-0070 or firstname.lastname@example.org.